Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Sorie Alpha Kanu, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1750898938

Mr. Sorie Alpha Kanu, NURSEPRACTITIONER is a Nurse Practitioner in Detroit, Michigan. Qualified in 2017, 9 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

261 Mack Ave
Detroit, MI 48201-2417
Phone: (313) 745-1203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-2800

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704290850 (MI)

Record details

NPI number1750898938
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 9, 2018
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Detroit